Medical Practise at CHSLDs - New Practise Standards for a Changing Clientele

    MONTREAL, June 11 /CNW Telbec/ - In order to assure an effective
framework for medical practise at Residential and Long-Term Care
Centres(CHSLDs) and optimally adapt care and treatment to an evolving
clientele made up primarily of the elderly, the Collège des médecins has
undertaken a thorough revision of the contents of La pratique médicale en
soins de longue durée guide.
    Since this publication was last updated in 1994, several aspects of
medical practise in long-term care have evolved. For example, the typical
clients at these facilities have aged progressively, they often present
multiple and complex disorders, and a growing number have lost their autonomy,
with 30% of them passing on each year. These Centres also now house a higher
percentage of young people who are severely handicapped and afflicted with
complex health problems. In view of these circumstances, CHSLDs have
increasingly become places of residence, while having to continue to pursue
their primary mission of dispensing health care.
    The new practise guidelines take into account the sharing of
responsibilities among the various health professionals, the complementary
nature of specialized care required to ensure patient well-being, as well as
the considerable evolution of knowledge about caring for the elderly over the
past 20 years. "It is important that physicians are sensitized to the
particular approach required for the elderly at CHSLDs or at home, and that
they are able to adapt to the objective of maintaining the ability to function
and quality of life of our seniors," underlined Dr. Yves Lamontagne, President
and Chief Executive Officer of the Collège during the official release of the
new guide. In that regard, the publication stresses the need for improvementin
such areas as evaluating loss of autonomy, functional assessment by the
physician, determining capacity for giving able-minded consent, longitudinal
monitoring of major geriatric syndromes, and controlling pain and symptoms
when the end is near. The guide also contains numerous practical tools to help
physicians conduct assessments and obtain the active participation of patients
in making decisions about the intensity of treatment to be received.

    The new La pratique médicale en soins de longue durée guide is available
for consultation in the "Publications" section of the Collège des médecins Web
site (

    The Collège des médecins du Québec is the professional order of Québec
physicians. The mission of the Collège is to promote quality medicine in order
to protect the public and help improve the health of Quebecers.

For further information:

For further information: Anne Roy, Communications Department, Collège
des médecins du Québec, (514) 933-4441, ext. 5278; Source: Collège des
médecins du Québec

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